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The Value of and Challenges for Cholera Vaccines in Africa

Identifieur interne : 005756 ( PascalFrancis/Curation ); précédent : 005755; suivant : 005757

The Value of and Challenges for Cholera Vaccines in Africa

Auteurs : Lorenz Von Seidlein [Australie] ; Mohammad Jiddawi [Tanzanie] ; Rebecca F. Grais [France] ; Francisco Luquero [France] ; Marcelino Lucas [Mozambique] ; Jacqueline Deen [Australie]

Source :

RBID : Pascal:13-0348253

Descripteurs français

English descriptors

Abstract

The 21st century saw a shift in the cholera burden from Asia to Africa. The risk factors for cholera outbreaks in Africa are incompletely understood, and the traditional emphasis on providing safe drinking water and improving sanitation and hygiene has proven remarkably insufficient to contain outbreaks. Current killed whole-cell oral cholera vaccines (OCVs) are safe and guarantee a high level of protection for several years. OCVs have been licensed for >20 years, but their potential for preventing and control cholera outbreaks in Africa has not been realized. Although each item in the long list of technical reasons why cholera vaccination campaigns have been deferred is plausible, we believe that the biggest barrier is that populations affected by cholera outbreaks are underprivileged and lack a strong political voice. The evaluation and use of OCVs as a tool for cholera control will require a new, more compassionate, less risk-averse generation of decision makers.
pA  
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A08 01  1  ENG  @1 The Value of and Challenges for Cholera Vaccines in Africa
A09 01  1  ENG  @1 Cholera in Africa: Microbiology, Epidemiology, Prevention and Control
A11 01  1    @1 VON SEIDLEIN (Lorenz)
A11 02  1    @1 JIDDAWI (Mohammad)
A11 03  1    @1 GRAIS (Rebecca F.)
A11 04  1    @1 LUQUERO (Francisco)
A11 05  1    @1 LUCAS (Marcelino)
A11 06  1    @1 DEEN (Jacqueline)
A12 01  1    @1 MENGEL (Martin) @9 ed.
A12 02  1    @1 MINTZ (Eric) @9 ed.
A12 03  1    @1 BALAKRISH NAIR (Gopinath) @9 ed.
A12 04  1    @1 GESSNER (Bradford D.) @9 ed.
A14 01      @1 Menzies School of Health Research @2 Casuarina @3 AUS @Z 1 aut. @Z 6 aut.
A14 02      @1 Ministry of Health @2 Zanzibar @3 TZA @Z 2 aut.
A14 03      @1 Epicentre @2 Paris @3 FRA @Z 3 aut. @Z 4 aut.
A14 04      @1 Ministry of Health @2 Maputo @3 MOZ @Z 5 aut.
A15 01      @1 Agence de Médecine Préventive @2 Paris @3 FRA @Z 1 aut. @Z 4 aut.
A15 02      @1 US Centers for Disease control and Prevention @2 Atlanta, Georgia @3 USA @Z 2 aut.
A15 03      @1 National Institute of Cholera and Enteric Diseases @2 Kolkata @3 IND @Z 3 aut.
A20       @2 S8-S14
A21       @1 2013
A23 01      @0 ENG
A43 01      @1 INIST @2 2052 @5 354000504226750020
A44       @0 0000 @1 © 2013 INIST-CNRS. All rights reserved.
A45       @0 49 ref.
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A64 01  1    @0 The Journal of infectious diseases
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C01 01    ENG  @0 The 21st century saw a shift in the cholera burden from Asia to Africa. The risk factors for cholera outbreaks in Africa are incompletely understood, and the traditional emphasis on providing safe drinking water and improving sanitation and hygiene has proven remarkably insufficient to contain outbreaks. Current killed whole-cell oral cholera vaccines (OCVs) are safe and guarantee a high level of protection for several years. OCVs have been licensed for >20 years, but their potential for preventing and control cholera outbreaks in Africa has not been realized. Although each item in the long list of technical reasons why cholera vaccination campaigns have been deferred is plausible, we believe that the biggest barrier is that populations affected by cholera outbreaks are underprivileged and lack a strong political voice. The evaluation and use of OCVs as a tool for cholera control will require a new, more compassionate, less risk-averse generation of decision makers.
C02 01  X    @0 002A05B15
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C02 03  X    @0 002A05F04
C03 01  X  FRE  @0 Vibrio cholerae @2 NS @5 01
C03 01  X  ENG  @0 Vibrio cholerae @2 NS @5 01
C03 01  X  SPA  @0 Vibrio cholerae @2 NS @5 01
C03 02  X  FRE  @0 Vaccin @5 05
C03 02  X  ENG  @0 Vaccine @5 05
C03 02  X  SPA  @0 Vacuna @5 05
C03 03  X  FRE  @0 Afrique @2 NG @5 06
C03 03  X  ENG  @0 Africa @2 NG @5 06
C03 03  X  SPA  @0 Africa @2 NG @5 06
C03 04  X  FRE  @0 Infection @5 07
C03 04  X  ENG  @0 Infection @5 07
C03 04  X  SPA  @0 Infección @5 07
C07 01  X  FRE  @0 Vibrionaceae @2 NS
C07 01  X  ENG  @0 Vibrionaceae @2 NS
C07 01  X  SPA  @0 Vibrionaceae @2 NS
C07 02  X  FRE  @0 Bactérie
C07 02  X  ENG  @0 Bacteria
C07 02  X  SPA  @0 Bacteria
N21       @1 329
N44 01      @1 OTO
N82       @1 OTO

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Pascal:13-0348253

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<div type="abstract" xml:lang="en">The 21st century saw a shift in the cholera burden from Asia to Africa. The risk factors for cholera outbreaks in Africa are incompletely understood, and the traditional emphasis on providing safe drinking water and improving sanitation and hygiene has proven remarkably insufficient to contain outbreaks. Current killed whole-cell oral cholera vaccines (OCVs) are safe and guarantee a high level of protection for several years. OCVs have been licensed for >20 years, but their potential for preventing and control cholera outbreaks in Africa has not been realized. Although each item in the long list of technical reasons why cholera vaccination campaigns have been deferred is plausible, we believe that the biggest barrier is that populations affected by cholera outbreaks are underprivileged and lack a strong political voice. The evaluation and use of OCVs as a tool for cholera control will require a new, more compassionate, less risk-averse generation of decision makers.</div>
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